Custom Orthotics & Shoe Lifts—When Do They Help Scoliosis?

Foot orthotics and shoe lifts are sometimes recommended for people with scoliosis, but they are not a universal solution. Used in the right cases, they can reduce pain and improve alignment; used indiscriminately, they add cost without benefit.

Leg Length Difference & Pelvic Tilt

Dorsi Spinal Institute assesses whether there is a true or functional leg length difference contributing to pelvic tilt. In some cases, a carefully measured lift on one side can help rebalance the pelvis and ease strain on the spine.

Foot Mechanics & Gait

We evaluate:

Flat feet or high arches.
Patterns of pronation or supination.
How the foot strike and push‑off affect the chain from ankle to spine.

Custom orthotics may be used to improve comfort and movement efficiency.

When Orthotics Are Not Indicated

Orthotics or lifts are not prescribed simply because a person has scoliosis. If they do not clearly improve symptoms or alignment, we avoid long‑term use.

Next Steps

If you have scoliosis and suspect your feet or leg length are adding to discomfort, Dorsi can perform a full gait and lower‑limb assessment to see whether custom orthotics are worthwhile.

Related reading: see our blogs on footwear, work‑related pain, and adult scoliosis.

Written by

Dr Matthew ABJ Potts BSc MSc DC ISPRM

Clinical Director

Doctor of Chiropractic

Specialist Scoliosis Consultant

Fellow of the British Scoliosis Society

Member of the Scoliosis Association (UK)

Chair of the Clinical Advisory Board at Meloq AB

Member of the International Society of Physical and Rehabilitation Medicine

Editorial board member of international journals CICRJ & Rehabilitation Science

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